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Year : 2020  |  Volume : 12  |  Issue : 1  |  Page : 27-29

Superior sagittal sinus thrombosis presenting as diplopia in pregnancy

Department of Ophthalmology, AIIMS, Bhubaneswar, India

Correspondence Address:
Dr. Sucheta Parija
Additional Professor, Department of Ophthalmology, AIIMS, Bhubaneswar
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DOI: 10.4103/sjopthal.sjopthal_6_20

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Cerebral sagittal sinus thrombosis is a very rare condition and presents as diagnostic challenge due to its varied presentations. Most common signs and symptoms are headache, blurring of vision, diplopia, and papilledema. Pregnancy and puerperium constitute one of its rare etiological factors. A high index of clinical suspicion of the disease is important when a pregnant female presents with stroke like symptoms of headache, hemiparesis, diplopia, and seizures in the early stages of pregnancy because early neuroimaging can clinch the diagnosis. Management with adequate dosage of anticoagulants can be life-saving and can prevent severe visual loss. Here, we report and discuss the presentation and management of a case of cerebral superior sagittal sinus thrombosis presenting as diplopia in a young primigravid in the first trimester of pregnancy.

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